Journal of the Royal College of Physicians of Edinburgh最新文献_第2页

Response to deep vein thrombosis: Implications of thromboprophylaxis after lower limb cast immobilisation. 对深静脉血栓形成的反应：下肢石膏固定后血栓预防的意义。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1177/14782715241264851

Katherine Stark, Abhinav Mathur, Mohammed M Khan

引用次数: 0

Nail and distal interphalangeal joint involvement parallel each other in psoriatic arthritis. 在银屑病关节炎中，指甲和远端指间关节的受累情况是并行的。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-07-28 DOI: 10.1177/14782715241267328

Ashish Sharma, Ankita Sheoran

引用次数: 0

Critical analysis of the subspecialty stroke medicine curriculum: Social and political influences on its design and professionalism. 对卒中医学亚专业课程的批判性分析：社会和政治对课程设计和专业性的影响。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI: 10.1177/14782715241275176

Samia Gul, Muhammad Shahid

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Safety, feasibility and efficacy of sonothrombolysis with micro boluses of perfluoropropane as a point of care therapy for patients with acute ST-elevation myocardial infarction. 将全氟丙烷微量栓剂超声溶栓作为急性ST段抬高型心肌梗死患者的护理点疗法的安全性、可行性和有效性。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1177/14782715241273737

Pratheesh George Mathen, Jesu Krupa, Nathaniel Samson, Shohiab Mirza, Haynes Raja, Sakthivel Selvaraj, John Jose

{"title":"Safety, feasibility and efficacy of sonothrombolysis with micro boluses of perfluoropropane as a point of care therapy for patients with acute ST-elevation myocardial infarction.","authors":"Pratheesh George Mathen, Jesu Krupa, Nathaniel Samson, Shohiab Mirza, Haynes Raja, Sakthivel Selvaraj, John Jose","doi":"10.1177/14782715241273737","DOIUrl":"10.1177/14782715241273737","url":null,"abstract":"Background: Despite advances in timely revascularisation of ST elevation myocardial infarction (STEMI) patients, there are several practical and unavoidable delays. Sonothrombolysis (administered during micro boluses of Perfluoropropane) initiated bedside as a point-of-care therapy during the initial evaluation of the patient may potentially mitigate this by producing early culprit vessel revascularisation.Methods: This was a prospective, single-centre study on hemodynamically stable patients presenting within 12 hours of a first STEMI who consented for study participation.Results: Fifteen patients were recruited over a 1-month period. Eleven were male. Nine patients had anterior wall STEMI and left anterior descending as culprit vessel. There were no significant changes in safety outcomes. Median First Medical Contact (FMC)-Sono time was 12 min (10-15). Median duration of sonothrombolysis was 14 min (12-16). FMC-device time was 97 min (79-128). Six patients had culprit vessel recanalisation before primary percutaneous coronary intervention (PPCI) which was consistent with the reference rates of therapy-associated recanalisation (p = 0.535).Conclusion: Micro bolus sonothrombolysis maybe safely initiated as a point of care therapy adjunctive to PPCI in hemodynamically stable STEMI patients with reasonable efficacy. Further randomised trials are needed to ascertain its applicability in various geographical and clinical settings.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metastasis to the skull base involving the sphenoid and cavernous sinus in hepatocellular carcinoma. 肝细胞癌转移至颅底，累及蝶窦和海绵窦：病例报告。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1177/14782715241270368

Sukanta Dutta, Atanu Chandra, Saikot Ganai, Uddalak Chakraborty, Sumesh Pm

引用次数: 0

Alfred Labinjoh: Edinburgh doctor, Nigerian Pan-Africanist. 阿尔弗雷德-拉宾约爱丁堡医生，尼日利亚泛非主义者。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-23 DOI: 10.1177/14782715241283136

Henry Dee

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Looking beyond duty hours: Offering a balanced quantitative-qualitative approach to resident burnout. 超越值班时间：为住院医师职业倦怠提供一种定量与定性兼顾的方法。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1177/14782715241273739

Isaac Ks Ng, Sarah Zl Tham, Kar Mun Chong, Desmond B Teo

{"title":"Looking beyond duty hours: Offering a balanced quantitative-qualitative approach to resident burnout.","authors":"Isaac Ks Ng, Sarah Zl Tham, Kar Mun Chong, Desmond B Teo","doi":"10.1177/14782715241273739","DOIUrl":"10.1177/14782715241273739","url":null,"abstract":"Burnout, stress and overwork are highly prevalent amongst junior training physicians worldwide, which explains the widespread phenomenon of physicians leaving the field and organised protests/strikes for better working conditions. Back in 2003, the mandatory duty hour restriction was a landmark intervention rolled out by the Accreditation Council for Graduate Medical Education that formally mandated limiting working hours of trainee residents to no more than 80 h per week, and not exceeding 24-h shifts with 6 added hours for education and handover. Nonetheless, 20 years later, this measure continues to be subject to multiple debates on its purported efficacy in achieving its intended objectives and fails to adequately prevent physician burnout and exodus. In our view, the current duty hour restriction model is, in and of itself, inadequate for combating burnout amongst medical residents for several reasons, including insignificant reduction in duty hours with suboptimal adherence/reporting, failure to account for off-site clinical and non-clinical duties, as well as nature of clinical work which typically involves high work intensity in less-than-optimal/unconducive work environments and significant psychoemotional stress. In this article, we offer our perspectives on pursuing a balanced approach towards both meaningful quantitative reduction in working hours as well as practical qualitative improvement in nature of clinical and non-clinical work that could collectively address resident burnout and improve work and training outcomes.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dietary behaviour, attitude and food perceptions of patients with ulcerative colitis - An observational study. 溃疡性结肠炎患者的饮食行为、态度和食物认知--一项观察性研究。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-09-14 DOI: 10.1177/14782715241281682

Nancy Sahni, Urvashi Rana, Sindhuja Rajan, Anuraag Jena, Anupam K Singh, Usha Dutta, Vishal Sharma

{"title":"Dietary behaviour, attitude and food perceptions of patients with ulcerative colitis - An observational study.","authors":"Nancy Sahni, Urvashi Rana, Sindhuja Rajan, Anuraag Jena, Anupam K Singh, Usha Dutta, Vishal Sharma","doi":"10.1177/14782715241281682","DOIUrl":"10.1177/14782715241281682","url":null,"abstract":"Background: Dietary knowledge, perception and practices may have a role in determining the nutritional status of patients with inflammatory bowel disease (IBD). However, the assessment of these patterns has infrequently been done in developing countries. We aimed to evaluate patients with ulcerative colitis (UC) about their dietary beliefs, practices and changes after the diagnosis.Methods: We conducted a cross-sectional survey among patients with UC at a tertiary care centre in North India. Apart from clinical details, we collected information about dietary beliefs, sources of information, dietary practices and changes after the diagnosis of UC. The information was collected using a designed and pretested survey questionnaire.Results: We included 93 patients with a mean age of 40.6 ± 13.3 years and 49 (52.7%) were men. A majority of patients felt that diet had an important role in the causation of IBD (86%, n = 80) and triggering relapses (86%, n = 80). A total of 94.6% of patients (n = 88) felt that certain foods (especially spicy and fatty food and milk) items increased the symptoms of IBD. Patients felt that some food items (yogurt and buttermilk) improved the symptoms. A total of 96.8% of patients (n = 90) changed their diet in some form (commonly, restriction of milk products and outside food), 64% of patients (n = 60) deprived themselves of their favourite food after diagnosis, 80.6% of patients (n = 75) felt a need for additional dietary advice. Regular milk intake was seen more often by patients in remission than those with active disease in IBD (36/47 (76.6%) vs 7/15(46.6%), p = 0.03).Conclusion: Most patients believe that diet has an important role in the causation, relapses and treatment of UC. Patients also felt the need for more information regarding diet in IBD.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The rise of medical influencers: The pros and the cons. 医疗影响者的崛起：利与弊。

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI: 10.1177/14782715241261736

Isaac Ks Ng, Christopher Thong, Li Feng Tan, Desmond B Teo

{"title":"The rise of medical influencers: The pros and the cons.","authors":"Isaac Ks Ng, Christopher Thong, Li Feng Tan, Desmond B Teo","doi":"10.1177/14782715241261736","DOIUrl":"10.1177/14782715241261736","url":null,"abstract":"In the past few years, the online influencer industry has exponentially expanded, fuelled by the COVID pandemic lockdown, increased social media platforms and lifestyle appeal of influencership. This phenomenon has likewise infiltrated the medical field, where many healthcare practitioners have taken to social media platforms for content creation and influencer marketing. There are many reasons that underlie medical influencership - some may use it to improve public health literacy and correct medical misinformation, engage in medical advocacy or use the platform simply as a means of humanistic expression of the medical career, while others may seek to advertise private practice/medical products, boost personal reputation, and gain popularity and monetary benefits. Regardless of the underlying motivations of the medical influencers, some have fallen afoul of professionally accepted practices and ethical boundaries in their use of social media platforms, leading to serious consequences such as professional sanctioning or termination of employment. In this article, we hope to provide a comprehensive review of the 'good' (positive practices), the 'bad' (practices with possible unintended negative consequences) and the outright unprofessional or unethical behaviours aspects of social media use by medical influencers and offer practical strategies to ensure responsible and meaningful use of influencer platforms at both the physician and health systems level.","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Features in this issue. 本期专题

IF 1.1

Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-09-01 Epub Date: 2024-10-06 DOI: 10.1177/14782715241290278

Graeme Currie

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